Three-flap cover for total hand degloving

Doctor, Azmat; Mathew, Jimmy; Ellur, Sunderraj; Ananthram, Anusham A.

doi:10.1016/j.bjps.2009.10.007

Cited by 13 publications

(8 citation statements)

References 10 publications

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“…For a patient with a degloved finger, replantation should be attempted as no other reconstruction procedure can restore the cosmetic and functional characteristics of native finger skin. [28] The various replantation treatment options include replantation surgery with vascular anastomosis; reconstruction with a thumb flap and a portion of one second toe for a dorsal skin flap; reconstruction with the second toe of both feet for a dorsal skin flap; or repair with an abdominal flap. [29]…”

Section: Introductionmentioning

confidence: 99%

The therapeutic challenges of degloving soft-tissue injuries

Latifi

Hennawy

El‐Menyar

et al. 2014

J Emerg Trauma Shock

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Background:Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients’ outcomes is frequently underestimated.Objectives: We aimed to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries.Materials and Methods:We conducted a narrative traditional review using the key words; degloving injury and soft-tissue injuries through search engines PubMed, Science Direct, and Scopus.Results:There are several therapeutic options for treating degloving soft-tissue injuries; however, no evidence-based guidelines have been published on how to manage degloving soft-tissue injuries, although numerous articles outline the management of such injuries.Conclusion:Degloving soft-tissue injuries are underreported and potentially devastating. They require early recognition, and early management. A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

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Section: Introductionmentioning

confidence: 99%

The therapeutic challenges of degloving soft-tissue injuries

Latifi

Hennawy

El‐Menyar

et al. 2014

J Emerg Trauma Shock

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“…Early coverage and mobilization are the basis for a successful treatment of an avulsed finger [5]. For this reason, the choice of a reconstructive surgical method adapted to the characteristics of the patient and the injury is essential.…”

Section: Discussionmentioning

confidence: 99%

“…However, replantation may not always be possible because of the extent of the injury [1][2][3] or loss of the severed part. Under these circumstances, other treatment options, such as the coverage of the exposed soft tissues with pedicled or free flaps [4], subcutaneous pockets [5], or amputation of the remaining stump, should be considered [6].…”

Section: Introductionmentioning

confidence: 99%

Long-term outcome after use of an acellular collagen matrix in a finger degloving injury

Bravo

Nunez-Villaveiran

2014

Eur J Plast Surg

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In ring avulsion injuries, replantation may not always be possible because of the extent of the injury or the loss of the severed part. Under these circumstances, other treatment options should be considered. We describe our 5-year follow-up experience after the coverage of a complete digital ring degloving injury with an acellular collagen matrix. The distal phalanx needed to be amputated. Acceptable long-term functional and cosmetic outcomes were attained. Level of Evidence: Level V, therapeutic study.

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“…23,24 Complex circumferential degloving injury to the multiple digits almost always requires a pedicled flap. 10,25,26 Very rarely total degloving injuries to the hand have been managed with free flaps. 27 Coverage of amputated stump of the thumb or multiple fingers by pedicled flap is a well-established entity.…”

Section: Discussionmentioning

confidence: 99%